股骨干骨折行髓内外固定方案临床效果对比.docVIP

股骨干骨折行髓内外固定方案临床效果对比 　　[摘要]目的 对比股骨干骨折行髓内外固定方案的临床效果。方法 回顾性分析选取2009年4月―2014年4月该院诊治的股骨干骨折100例患者临床资料，按照不同治疗方式分为两组，对照组50例患者行髓外固定治疗，研究组50例患者行髓内固定治疗，比较两组患者临床疗效、治疗相关有效性指标及并发症发生率。结果 研究组临床治疗优良率92.00%高于对照组78.00%，且术后并发症总发生率6.00%低于对照组22.00%，比较差异有统计学意义（P0.05）；且研究组各项治疗相关有效性指标均优于对照组，比较差异有统计学意义（P0.05）。结论 股骨干骨折行髓内固定治疗较髓外固定治疗效果更佳，可降低并发症发生率，具临床实际应用价值。 　　[关键词]股骨干骨折；髓内固定；髓外固定；效果；对比 　　[中图分类号]R687 [文献标识码]A [文章编号]1674-0742（2015）03（c）-0003-02 　　[Abstract] Objective To compare the clinical effect between intramedullary and extramedullary fixation on femoral shaft fractures. Methods A retrospective analysis was conducted on the clinical data of 100 cases with femoral shaft fractures diagnosed and treated in our hospital from April 2009 to April 2014. The patients were divided into two groups in accordance with different treatment. 50 cases in the control group were treated by extramedullary fixation， and 50 cases in the study group were treated by intramedullary fixation. And the clinical efficacy， treatment-related indicators of effectiveness and incidence of complications of the two groups were compared. Results The clinical excellent and good rate of the study group was 92.00%， higher than 78.00% of the control group； the overall incidence of postoperative complications of the study group was 6.00%， lower than 22.00% of the control group， the differences were statistically significant（P0.05）； the treatment-related indicators of effectiveness of the study group were better than those of the control group， the differences were statistically significant（P0.05）. Conclusion For femoral shaft fractures， compared with extramedullary fixation， intramedullary fixation has better treatment effect， which can reduce the incidence of complications with clinically practical value. 　　[Key words] Femoral shaft fractures； Intramedullary fixation； Extramedullary fixation； Effect； Comparison 　　股骨干骨折作为人体最常见且多发性骨折之一，手术治疗是其临床主要治疗方案，在世界医疗水平不断提高时代背景下，治疗股骨干骨折的手术也趋于多样化，以髓内固定与髓外固定两种手术方式为主[1-3]。为股骨干骨折患者探索出科学、有效的